Individual
BRIAN HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
5841 S MARYLAND AVE # MC2115, CHICAGO, IL 60637-1443
(773) 702-2614
(773) 702-3163
Mailing address
5841 SOUTH MARYLAND AVENUE, MC2115, CHICAGO, IL 60637-1470
(773) 702-2614
(773) 702-3163
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
336.104051
IL
Other
Enumeration date
04/02/2014
Last updated
09/06/2017
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